Hesse Richard J
Department of Ophthalmology, Ochsner Clinic Foundation, and The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.
Ochsner J. 2011 Summer;11(2):122-4.
A new technique for the management of medial ectropion with a mild to moderate cicatricial component is presented that avoids the necessity for skin grafting. A subciliary incision is made inferior to the punctum and extending laterally, followed by preseptal dissection to the orbital rim. A base-up triangle of the posterior lamella is then excised lateral to the punctum. This is closed with a marginal mattress suture. Tightening of the posterior lamella in this fashion produces laxity in the anterior lamella, which can then be closed without tension, eliminating the need for skin grafting.
本文介绍了一种治疗伴有轻至中度瘢痕成分的内侧睑外翻的新技术，该技术避免了植皮的必要性。在泪点下方做一个睑缘下切口并向外侧延伸，然后进行眶隔前分离至眶缘。然后在泪点外侧切除后层的一个基底朝上的三角形组织。用边缘褥式缝线缝合。以这种方式收紧后层会使前层松弛，然后可以无张力地关闭，从而无需植皮。
